| In Home Services Of Southeast Texas | |
|
4973 Carlton St Orange TX 77632-5654 | |
| (409) 791-6894 | |
| Not Available |
| Full Name | In Home Services Of Southeast Texas |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4973 Carlton St, Orange, Texas |
| Authorized Official Name and Position | Jennifer Ford (OWNER) |
| Authorized Official Contact | 4097916894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Home Services Of Southeast Texas Po Box 2124 Buna TX 77612-2124 Ph: (409) 651-0991 | In Home Services Of Southeast Texas 4973 Carlton St Orange TX 77632-5654 Ph: (409) 791-6894 |
| NPI Number | 1134466378 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134466378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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